Mercy Seyi Ayodele

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95011326 Issued in CA

Practice address

55 Shaw Ave Ste 207
Clovis, CA 93612-3819

Phone

(559) 500-1257

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mercy.ayodele.p4@direct.vht.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1225660871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 N ELLENDALE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228713",
            "telephone_number": "559-917-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 207",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123819",
            "telephone_number": "559-500-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYODELE",
        "first_name": "MERCY",
        "middle_name": "SEYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95011326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirey Monica Avedo, RBT
• Sylvia Avila, CMT
• Traiz Awad
• Lawrence Awai, M.D.
• Kelly Ayala, MD
• Yisel Ayon-Astorga
• Mark Ayoub, MD
• Leyla Mohassessy Azmoun, M.D.
• Jerrica Lee Shelby Babb
• Michael Anthony Bacallao, LMSW, LCSW

• Family Medicine Physician in Clovis, CA
• Providers in Clovis, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.